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National equity of health resource allocation in China: data from 2009 to 2013.

Liu W, Liu Y, Twum P, Li S - Int J Equity Health (2016)

Bottom Line: The regional contribution rates were lower than that of the inter-regional contribution rates which were all beyond 60 %.The equity of health resource allocation improved gradually from 2009 to 2013.The tough issues of inequitable in health resource allocation should be resolved by comprehensive measures from a multidisciplinary perspective.

View Article: PubMed Central - PubMed

Affiliation: Department of Social Medicine and Health Management, College of Public Health, Shandong University, 44 Culture Road, Li Xia District, Jinan, 250012, Shandong Province, China.

ABSTRACT

Background: The inequitable allocation of health resources is a worldwide problem, and it is also one of the obstacles facing for health services utilization in China. A new round of health care reform which contains the important aspect of improving the equity in health resource allocation was released by Chinese government in 2009. The aim of this study is to understand the changes of equity in health resource allocation from 2009 to 2013, and make a further inquiry of the main factors which influence the equity conditions in China.

Methods: Data resources are the China Health Statistics Yearbook (2014) and the China Statistical Yearbook (2014). Four indicators were chosen to measure the trends in equity of health resource allocation. Data were disaggregated by three geographical regions: west, central, and east. Theil index was used to calculate the degree of unfairness.

Results: The total amount of health care resources in China had been increasing in recent years. However, the per 10, 000 km(2) number of health resources showed a huge gap in different regions, and per 10, 000 capita health resources ownership showed a relatively small disparities at the same time. The index of health resources showed an overall downward trend, in which health financial investment the most unfair from 2009 to 2012 and the number of health institutions the most unfair in 2013. The equity of health resources allocation in eastern regions was the worst except for the aspect of health technical personnel allocation. The regional contribution rates were lower than that of the inter-regional contribution rates which were all beyond 60 %.

Conclusion: The equity of health resource allocation improved gradually from 2009 to 2013. However, the internal differences within the eastern region still have a huge impact on the overall equity in health resource allocation. The tough issues of inequitable in health resource allocation should be resolved by comprehensive measures from a multidisciplinary perspective.

No MeSH data available.


Related in: MedlinePlus

Contribution rate for Theil index of health resource allocation from 2009 to 2013 a, b, c and d represents the four kinds of health resources. The figure shows the contribution rate in the four categories of health resources which including the intra-regional part and the inter-regional part. The intra-regional part was divided into three regions which were mentioned in the text. X-axis represents the year and Y-axis the contribution rate for Theil index which was calculated by the formula (2), (3) and (4). For details see text
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Fig2: Contribution rate for Theil index of health resource allocation from 2009 to 2013 a, b, c and d represents the four kinds of health resources. The figure shows the contribution rate in the four categories of health resources which including the intra-regional part and the inter-regional part. The intra-regional part was divided into three regions which were mentioned in the text. X-axis represents the year and Y-axis the contribution rate for Theil index which was calculated by the formula (2), (3) and (4). For details see text

Mentions: As shown in Fig. 2, the regional contribution rates were less than 10, 25, 40, and 20 % in respectively, lower than the proportion of inter-regional contribution rates. But in which, the gap between intra-regional and inter-regional in terms of beds in health care institutions attribute was smaller. The contribution rates were highest in eastern no matter calculated from which kind of resources. Among them, the contribution rate of institutional distribution and financial investment distribution in eastern even beyond 50 %. The overall trend of contribution rate in central and western region showed a steady decline, while the eastern was rising in recent years.Fig. 2


National equity of health resource allocation in China: data from 2009 to 2013.

Liu W, Liu Y, Twum P, Li S - Int J Equity Health (2016)

Contribution rate for Theil index of health resource allocation from 2009 to 2013 a, b, c and d represents the four kinds of health resources. The figure shows the contribution rate in the four categories of health resources which including the intra-regional part and the inter-regional part. The intra-regional part was divided into three regions which were mentioned in the text. X-axis represents the year and Y-axis the contribution rate for Theil index which was calculated by the formula (2), (3) and (4). For details see text
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4837535&req=5

Fig2: Contribution rate for Theil index of health resource allocation from 2009 to 2013 a, b, c and d represents the four kinds of health resources. The figure shows the contribution rate in the four categories of health resources which including the intra-regional part and the inter-regional part. The intra-regional part was divided into three regions which were mentioned in the text. X-axis represents the year and Y-axis the contribution rate for Theil index which was calculated by the formula (2), (3) and (4). For details see text
Mentions: As shown in Fig. 2, the regional contribution rates were less than 10, 25, 40, and 20 % in respectively, lower than the proportion of inter-regional contribution rates. But in which, the gap between intra-regional and inter-regional in terms of beds in health care institutions attribute was smaller. The contribution rates were highest in eastern no matter calculated from which kind of resources. Among them, the contribution rate of institutional distribution and financial investment distribution in eastern even beyond 50 %. The overall trend of contribution rate in central and western region showed a steady decline, while the eastern was rising in recent years.Fig. 2

Bottom Line: The regional contribution rates were lower than that of the inter-regional contribution rates which were all beyond 60 %.The equity of health resource allocation improved gradually from 2009 to 2013.The tough issues of inequitable in health resource allocation should be resolved by comprehensive measures from a multidisciplinary perspective.

View Article: PubMed Central - PubMed

Affiliation: Department of Social Medicine and Health Management, College of Public Health, Shandong University, 44 Culture Road, Li Xia District, Jinan, 250012, Shandong Province, China.

ABSTRACT

Background: The inequitable allocation of health resources is a worldwide problem, and it is also one of the obstacles facing for health services utilization in China. A new round of health care reform which contains the important aspect of improving the equity in health resource allocation was released by Chinese government in 2009. The aim of this study is to understand the changes of equity in health resource allocation from 2009 to 2013, and make a further inquiry of the main factors which influence the equity conditions in China.

Methods: Data resources are the China Health Statistics Yearbook (2014) and the China Statistical Yearbook (2014). Four indicators were chosen to measure the trends in equity of health resource allocation. Data were disaggregated by three geographical regions: west, central, and east. Theil index was used to calculate the degree of unfairness.

Results: The total amount of health care resources in China had been increasing in recent years. However, the per 10, 000 km(2) number of health resources showed a huge gap in different regions, and per 10, 000 capita health resources ownership showed a relatively small disparities at the same time. The index of health resources showed an overall downward trend, in which health financial investment the most unfair from 2009 to 2012 and the number of health institutions the most unfair in 2013. The equity of health resources allocation in eastern regions was the worst except for the aspect of health technical personnel allocation. The regional contribution rates were lower than that of the inter-regional contribution rates which were all beyond 60 %.

Conclusion: The equity of health resource allocation improved gradually from 2009 to 2013. However, the internal differences within the eastern region still have a huge impact on the overall equity in health resource allocation. The tough issues of inequitable in health resource allocation should be resolved by comprehensive measures from a multidisciplinary perspective.

No MeSH data available.


Related in: MedlinePlus